Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09536 | Date 03/07/2025 |
| Token No | SM/25-26/4373 04/07/2025 | Serial | 003 |
| Patient Name | Mr. PRADIP ROY | Contact No | 6290648633 |
| Address | 65/19/7 WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||